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Contact Information

LOWELL K POTTENGER, MD
4400 EDEN HALL LN
JOPLIN, MO64803
 Phone: 417-781-4090
 Fax: 414-782-1601
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
Indicates primary specialty

NPI Profile & details for LOWELL K POTTENGER · (Male)

NPI Number 1316140650
Status Active
Credentials MD
Entity Individual
Enumeration date 06/06/2007
Last updated 12/07/2012 - About 13 years ago
Sole proprietor 1 Yes
Identifiers
  • MO License # 30716
  • KS Medicaid 04936673136
  • MO Medicaid 200600807
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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